Up-Rooting Institutions: A Call for Community Inclusion

This insightful document explores the deep-rooted challenges of institutionalization for people with disabilities and advocates for a shift toward community-based living and support systems. ​ Drawing inspiration from Ludwig Wittgenstein’s philosophy, author John O’Brien emphasizes the need to address institutional issues at their core, rather than merely treating surface-level symptoms. ​

The text highlights the importance of human rights, asserting that every individual, regardless of ability, deserves the right to live in the community with access to personalized support services. ​ It critiques the outdated institutional model, which segregates and controls individuals, and presents evidence showing that community-based services are not only more cost-effective but also lead to better outcomes for people with disabilities. ​

O’Brien poses three critical questions: how to mobilize political will to close institutions, how to make institutions unnecessary by improving local service systems, and how to prevent recreating institutional practices in smaller community settings. ​ The document challenges readers to rethink societal norms and embrace person-centered support that fosters respect, inclusion, and meaningful relationships.

With practical insights and real-world examples, this piece inspires action toward dismantling institutional structures and building a future where people with disabilities thrive as valued members of their communities. ​ It’s a must-read for advocates, policymakers, and anyone passionate about creating a more inclusive society. ​